How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,000.00 Median $2,238.72 Typical High $3,090.30 | Facility | None | $1,000.00 | $2,238.72 | $3,090.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $446.68 Typical High $549.54 | Professional | None (both parts) | $302.00 | $446.68 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $131.83 Typical High $158.49 | Professional | 26 · Professional part | $85.11 | $131.83 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $316.23 Typical High $389.05 | Professional | TC · Technical part | $213.80 | $316.23 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $549.54 Median $851.14 Typical High $1,047.13 | Facility | None | $549.54 | $851.14 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $512.86 Typical High $977.24 | Professional | None (both parts) | $281.84 | $512.86 | $977.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $158.49 Typical High $229.09 | Professional | 26 · Professional part | $87.10 | $158.49 | $229.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $363.08 Typical High $776.25 | Professional | TC · Technical part | $194.98 | $363.08 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $489.78 Typical High $616.60 | Facility | None | $338.84 | $489.78 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $691.83 Typical High $977.24 | Professional | None (both parts) | $416.87 | $691.83 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $114.82 Typical High $169.82 | Professional | 26 · Professional part | $75.86 | $114.82 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $575.44 Typical High $758.58 | Professional | TC · Technical part | $302.00 | $575.44 | $758.58 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $371.54 Median $524.81 Typical High $707.95 | Professional | None (both parts) | $371.54 | $524.81 | $707.95 |
Health New England Setting Facility Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $1,698.24 | Facility | None | $1,318.26 | $1,621.81 | $1,698.24 |
Health New England Setting Professional Modifier None (both parts) Typical Low $125.89 Median $223.87 Typical High $288.40 | Professional | None (both parts) | $125.89 | $223.87 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $501.19 Typical High $812.83 | Professional | None (both parts) | $281.84 | $501.19 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $117.49 Typical High $234.42 | Professional | 26 · Professional part | $79.43 | $117.49 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $346.74 Typical High $588.84 | Professional | TC · Technical part | $194.98 | $346.74 | $588.84 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $138.04 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $54.95 | $91.20 | $91.20 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $234.42 Median $380.19 Typical High $380.19 | Professional | CT · Older CT scanner | $234.42 | $380.19 | $380.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $363.08 Typical High $363.08 | Professional | FX · Film X-ray | $223.87 | $363.08 | $363.08 |
Where Connecticut sits
The same service costs 12.3 times more in Vermont than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Connecticut· 13th of 51
$513
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.